A new scenario in metastatic renal cell carcinoma: a SOG-GU consensus

Clin Transl Oncol. 2020 Sep;22(9):1565-1579. doi: 10.1007/s12094-020-02300-2. Epub 2020 Feb 15.

Abstract

Background: This article describes and compares approved targeted therapies and the newer immunotherapy agents.

Materials and methods: This article especially performs an in-depth review of currently available data for tivozanib, explaining its mechanism of action, its safety profile and its role as an efficacy drug in the management of renal cancer.

Results: Despite the fact that the treatment of advanced RCC has been dramatically modified in recent years, durable remissions are scarce and it remains a lethal disease. For first- and second-line therapy, there is now growing evidence to guide the selection of the appropriate treatment.

Conclusions: Several TKIs are standard of care at different settings. Among those approved TKIs, tivozanib has similar efficacy than others with a better safety profile. The use of prognostic factors is critical to the selection of optimal therapy.

Keywords: Efficacy; First line; Metastatic renal cell carcinoma; Safety; Second line; Tivozanib.

Publication types

  • Review

MeSH terms

  • Carcinoma, Renal Cell / drug therapy*
  • Carcinoma, Renal Cell / genetics
  • Carcinoma, Renal Cell / metabolism
  • Carcinoma, Renal Cell / pathology
  • Clinical Trials as Topic
  • Consensus
  • Humans
  • Kidney Neoplasms / drug therapy*
  • Kidney Neoplasms / genetics
  • Kidney Neoplasms / metabolism
  • Kidney Neoplasms / pathology
  • Neoplasm Metastasis
  • Phenylurea Compounds / therapeutic use*
  • Protein Kinase Inhibitors / therapeutic use*
  • Quinolines / therapeutic use*
  • Receptors, Vascular Endothelial Growth Factor / antagonists & inhibitors*

Substances

  • Phenylurea Compounds
  • Protein Kinase Inhibitors
  • Quinolines
  • tivozanib
  • Receptors, Vascular Endothelial Growth Factor